Pinecrest Care Center LLC

NPI #1376849174 in Humboldt, Kansas

Provider Information

NPI Number
1376849174
Entity Type
Organization
Organization Name
Pinecrest Care Center LLC
Subpart
Yes (part of a larger organization)
Parent Organization
DNR TWO, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jan 27, 2011
Last Updated
Jan 27, 2011

Practice Location

Address
1020 PINE ST
State
Kansas
ZIP Code
66748-1960
Phone
(620) 473-2393

Authorized Official

Name
SHAUNA ROBERTSON
Title
MANAGER
Phone
(801) 296-5105

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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